NPI Code Detail JSON Logo

1568075265 NPI number — AGNO HEALTH, LLP

NPI Number: 1568075265
Health Care Provider/Practitioner: AGNO HEALTH, LLP

Information about “1568075265” NPI (AGNO HEALTH, LLP) exists in 1568075265 in HTML format HTML  |  1568075265 in plain Text format TXT  |  1568075265 in PDF (Portable Document Format) PDF  |  1568075265 in an XML format XML  formats.

NPI Number : 1568075265 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568075265",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AGNO HEALTH, LLP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2223 WATERLOO CITY LN APT 323",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78741-0008",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-291-1219",
    "MailingAddressFaxNumber": "512-271-4734",
    "FirstLinePracticeLocationAddress": "2506 SOUTH LAMAR BLVD",
    "SecondLinePracticeLocationAddress": "UNIT 2",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78704-4731",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "312-291-1219",
    "PracticeLocationAddressFaxNumber": "512-271-4734",
    "EnumerationDate": "08/24/2020",
    "LastUpdateDate": "08/24/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HIMMELVO",
    "AuthorizedOfficialFirstName": "JANE",
    "AuthorizedOfficialMiddleName": "T",
    "AuthorizedOfficialTitle": "OWNER/MD",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "510-619-6872",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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